Website Recruitment Student Paramedic

NOTE: Your information will be stored on your computer until you press "submit" so you can part fill in the form and come back to it without submitting. If you are on a shared or public computer and wish to abandon the form use the "Clear Form" button to delete your data.
Full Name*

First NameMiddle NameLast Name
Home Address (for Correspondance)*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Term Time Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Phone Number*
Email Address*
University or Trust
Year of paramedic course
And pre-course experience (voluntary or EMT / ECA etc)?
Are you applying for a specific role at LMS (i.e. in response to an advertisement). Leave blank if interested in general bank / film / event work*
Do you have a Current DBS Check

NoYes, within last 12 monthsYes, Over 12 months agoYes and I subscribe to DBS update Service
When you press submit we will upload your files. Please note this can take a couple of minutes.
Should be Empty: